Evaluation of a Point-of-care Lateral Flow Assay in Glial Fibrillary Acidic Protein (GFAP) and D-dimer in Diagnosis of Large Vessel Occlusion Acute Ischemic Stroke in a Pediatric Hospital
Part of paid clinical trials in Boston, Massachusetts.
- Sponsor
- Boston Children's Hospital
- Study ID
- NCT07474675
- Status
- Not Yet Recruiting
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Conditions
- Acute Ischemic Stroke
- Large Vessel Occlusion
- Stroke Code
Eligibility Criteria
- Sex
- ALL
- Age
- 0 Years - 21 Years
- Healthy Volunteers
- Not accepted
Interventions
- Point of Care Rapid Assay — DEVICEIn this study, participants will provide a small sample of blood to test the accuracy and efficacy of the Rapid Assay device. Standard of care for diagnosis will follow, regardless of Assay outcomes.
Study Details
The goal of this study is to test the efficacy of a rapid bedside blood test in determining if a stroke is happening in children who present to the emergency department with stroke symptoms. The main questions it aims to answer are: * To determine the sensitivity of detecting a large vessel occlusion (LVO) as the etiology of acute ischemic stroke (AIS) in a pediatric population using a point-of-care blood-based assay (LVOne). * To determine the positive predictive value (PPV) of LVOne in a pediatric population Participants will: * Provide a small sample of blood to be used to test the accuracy of the device. * Participants will still receive all standard of care work-up for stroke, which could include computed tomography/magnetic resonance imaging (CT/MRI).
Key Dates
- Start date
- Mar 31, 2026
- Status verified
- Mar 2026
- Primary completion
- Jan 31, 2028
- Completion
- Jul 31, 2028
Study Design
- Enrollment
- 250 participants (estimated)
Arms
- Arm: Stroke code patients in BCH EDAny patient who presents to Boston Children's Hospital (BCH) Emergency Department (ED) and whose clinical evaluation justifies activation of a stroke code will be considered. Once identified, inclusion/exclusion criteria will be evaluated and if terms are satisfied, patient will be approached for consent.
Primary Outcome Measure
Sensitivity of Device [ Time Frame: From enrollment in study in the emergency department through completion of the diagnostic evaluation for stroke during the index ED visit (approximately up to 24 hours). ]
Central Contacts
- Adam Porter, MPH617-919-6013
- Thomas Stivers, MS
Locations (1)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| Boston Children's Hospital | Boston | Massachusetts | 02115 | Rebekah Mannix, MD, MPH (SUB_INVESTIGATOR) Laura Lehman, MD, MPH (SUB_INVESTIGATOR) |
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